Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194739334 Individual Practitioner Male Practitioner

Michael Keith Burnside , LPC, LADC

Counselor - Professional • Okmulgee, OK

Professional Overview & Biography Verified Profile Summary

Michael Burnside, LPC, LADC is a registered healthcare professional specializing in Counselor - Professional in Okmulgee, OK. Practice services are available at 100 W 7TH ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 W 7th St Ste 102

Okmulgee, OK 744475007

Telephone 9187581910
Fax 9187561270
Associated Practice Facility / Clinic
🏢 Creek Nation Health Systems Facility NPI 1588672208

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Okmulgee, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Okmulgee, OK (2681 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OK 2650

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OK 553

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare
300522336 (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Leslie Crow , LPC

Counselor - Professional

NPI 1003052465

Licensed Professional Counselor

NPI 1033204763

Doctor of Philosophy (Ph.D.)

NPI 1083724074

Doctor of Philosophy (Ph.D.)

Emma De La Cruz

Counselor - Professional

NPI 1174874275
NPI 1194097717

Registered Nurse, Bachelor of Science in Nursing

Adrianne Brown , BS

Social Worker

NPI 1205176641

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 13, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2009

Registered at 100 W 7TH ST STE 102, OKMULGEE, OK 744475007 (Tel: 9187581910)

📍
Updated Business Mailing Address March 13, 2009

Registered at 720 S 5TH ST, MORRIS, OK 744452224 (Tel: 9187334603)

👤
Provider Name / Credentials Updated March 13, 2009

Recorded as MICHAEL BURNSIDE, LPC, LADC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2009

Counselor (License #553 in OK)

🟢
Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194739334
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: March 13, 2009
Sole Proprietor: No

Mailing Address

720 S 5th St

Morris, OK 744452224

Phone: 9187334603

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.